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The theme that resonates throughout the contributions is that health care governance has become locked in a cycle of mutual recrimination, blame assigning, and blame avoidance from the federal and provincial levels right down to the level of the individual citizen.

Presenting divergent diagnoses and policy prescriptions, the papers collectively highlight the many factors that governments and health care sector managers must confront to keep the Canadian health care system viable in the 21st century.

Commissioned and prepared with applicability as the foremost criteria, all of the studies presented in this volume offer solutions in managing obstacles to change. Each study also includes an appraisal of the most recent literature in the field.

Presenting divergent diagnoses and policy prescriptions, the papers collectively highlight the many factors that governments and health care sector managers must confront to keep the Canadian health care system viable in the 21st century.